Top 22 Rn work from home Jobs in Omaha Ne

Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Molina Healthcare —Omaha, NE
- $27.59 - $56.63 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Health insurance
Nurse Disability Consultant
Lincoln Financial —Omaha, NE
- $72,900 - $131,600 a year
- Online Application
- Remote
- Nursing
- RN License
- Mid-level
- Disability insurance
- Tuition reimbursement
2d
Aesthetics Professional Injector
GlamNow —United States
- $150 - $500 an hour
- Choose your own hours
- Remote
- Background check
- RN License
- Sales
- Employee discount
- Opportunities for advancement
Quick Apply
Healthcare RN/NP Financial Professional
SGK Resources, LLC —United States
- $76,683.85 - $92,350.44 a year
- Contract
- Remote
- Background check
- RN License
- Mid-level
- Flexible schedule
Quick Apply
13d

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Nurse Disability Consultant
Lincoln Financial —Omaha, NE
Registered Nurse – Current, unrestricted license in the state where the position is located (upon hire certificates/licensures).
$72,900 - $131,600 a year
2d
Utilization Review Nurse
Berkshire Hathaway Homestate Companies —Omaha, NE
Must have an active state license and eligible to obtain additional state licenses. LICENSES/EXPERIENCE: A current RN license as well as 5+ years of recent,…
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Clinical Quality Assurance Specialist, RN
Wider Circle —Columbus, OH
An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred). You can pull, sort, and understand QA data on your own.
$80,000 - $95,000 a year
Quick Apply
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST
IntellaTriage —Columbus, OH
Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends).
$25 - $28 an hour
Quick Apply

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rn work from home jobs near omaha ne

Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska

Molina Healthcare -
Omaha, NE

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Job Details

Full-time
$27.59 - $56.63 an hour

Benefits

Health insurance

Qualifications

Microsoft Excel
RN License
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION

This position will offer remote work flexibility, but the selected candidate must reside in Michigan.

Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams. Knowledge and experience working with NCQA standards is vital to success in this role.

The preferred candidate will have 3 – 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking. Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.

Hours are Monday – Friday, 8AM – 5PM in your time zone.

Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Performs audits in care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
Assesses clinical staff regarding appropriate clinical decision-making.
Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
Ensures auditing approaches follow a Molina standard in approach and tool use.
Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
Adheres to departmental standards, policies and protocols.
Maintains detailed records of auditing results.
Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
Meets minimum production standards related to clinical auditing.
May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified and works collaboratively to subsequently resolve/correct.

Required Qualifications

At least 2 years health care experience, with at least 1 year experience in care management, and/or managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and restricted in state of practice.
Strong attention to detail and organizational skills.
Strong analytical and problem-solving skills.
Ability to work in a cross-functional, professional environment.
Ability to work on a team and independently.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $27.59 - $56.63 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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rn work from home jobs in omaha ne

Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska

Nurse Disability Consultant

Aesthetics Professional Injector

Healthcare RN/NP Financial Professional

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